| NPI | 1962887273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY p98497) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020119) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2017-10-12 |